Active NPI
Youstina Robil
- Dentist
- Staten Island, NY
National Provider Identifier
1982344305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 063259
- Practice address
- 77 Selkirk St
Staten Island, NY 10309-1778 - Phone
- (718) 269-7001
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 063259 | NY | Primary |
Addresses
Primary practice location
77 Selkirk St
Staten Island, NY 10309-1778
Mailing address
77 Selkirk St
Staten Island, NY 10309-1778
Phone (718) 269-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250922000788 | NY | Order and Referring Only - Dentist | 0648774661 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- yrobil761920@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1982344305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SELKIRK ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091778",
"telephone_number": "718-269-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 SELKIRK ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091778",
"telephone_number": "718-269-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIL",
"first_name": "YOUSTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.